Individual
BEATA RADECKA JACKOWSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
57 SAINT MARKS PL, NEW YORK, NY 10003-7902
(212) 982-3470
Mailing address
147 KINGSLAND AVE, APT 1, BROOKLYN, NY 11222-5102
(718) 486-5545
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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